Visual short-term memory activation patterns in adult survivors of childhood acute lymphoblastic leukemia.

BACKGROUND: Acute lymphoblastic leukemia (ALL) is the most common childhood cancer. Treatments against ALL might lead to later cognitive effects and alterations in brain structure in survivors but to the authors' knowledge the observed variability in the severity of neurocognitive deficits is not fully understood. The objective of the current study was to investigate abnormalities in visual short-term memory (VSTM) brain activation in survivors of childhood ALL using magnetoencephalography. METHODS: A VSTM task was completed by 40 survivors of ALL and 26 controls. VSTM capacity (Cowan K) and brain activation were assessed during the retention period of the task (400-1400 milliseconds) using a standard minimum norm source localization method. RESULTS: Performance (Cowan K) was found to be similar between survivors of ALL and controls. Atypical brain activation was found in survivors of ALL during the task, including overactivation of regions usually involved in VSTM (lateral occipital, precentral gyrus, and postcentral gyrus), recruitment of regions that typically are not involved in VSTM (superior/middle temporal gyrus and supramarginal gyrus), and lower activation of frontal brain regions (inferior frontal gyrus). These patterns of activation were modulated by the age at the time of cancer onset (P = .01) because activity was found to be reduced in participants who were younger at diagnosis. CONCLUSIONS: The results of the current study suggest a pattern of neural inefficiency and compensatory activity during VSTM in survivors of ALL.

Spontaneous brain oscillations as neural fingerprints of working memory capacities: A resting-state MEG study.

Short-term storage and mental information manipulation capacities in the human brain are key to healthy cognition. These brain processes collectively known as working memory (WM) are associated with modulations of rhythmic brain activity across multiple brain areas and frequencies. Yet, it is not clear whether - and, if so, how-intrinsic resting-state neuronal oscillations are related to individual WM capacities, as measured by standard neuropsychological tests. We addressed this question by probing the correlation between resting-state brain activity, recorded with magnetoencephalography (MEG), and verbal and visuo-spatial WM indices obtained from the standardized Wechsler Adult Intelligence Scale (WAIS-IV) and the Wechsler Memory Scale (WMS-IV). To this end, 5-min eyes-open resting-state MEG data were acquired in 28 healthy participants. Source-reconstructed spectral power estimates were then computed in standard frequency bands and their correlation with neuropsychological indices across individuals was assessed using Pearson correlation and cluster-level statistics. We found statistically significant positive correlations between spectral amplitudes measured at rest and standardized scores on both verbal and visuo-spatial WM performance. The correlation clusters primarily involved key medial and dorsolateral components within the parietal and prefrontal regions. In addition, while the correlation in some clusters was frequency selective (e.g., alpha-band oscillations), other areas showed correlations with WM across a wide range of frequencies reflecting a broadband effect. These results provide the first evidence for a positive correlation between neuromagnetic signals measured at rest and WM performance separately assessed by standardized neuropsychological tests. Our results advance our understanding of the link between WM capacities and intrinsic oscillatory dynamics networks. They also suggest that individual differences in baseline spectral power might need to be taken into account when probing differences in brain responses during the execution of WM tasks.